Associate Director Operations

Position Title: Associate Director Operations

The Associate Director - Physician RCM will be responsible for leading end-to-end Physician Revenue Cycle Management operations across multiple specialties and clients. The role will oversee Billing, Coding Coordination, Charge Entry, Payment Posting, Accounts Receivable (AR), Denial Management, Credentialing Coordination, Quality, Client Management, and Operational Excellence initiatives.

The incumbent will drive revenue enhancement, operational efficiency, compliance, client satisfaction, team development, and business growth while ensuring achievement of key financial and operational objectives.

Key Responsibilities

Operational Leadership

• Lead and manage large-scale Physician RCM operations.
• Ensure achievement of client SLAs, KPIs, and financial targets.
• Drive operational excellence across all RCM functions.
• Monitor productivity, quality, utilization, and capacity planning.
• Develop and execute strategic plans aligned with organizational objectives.
• Ensure effective workforce planning and resource allocation.

Revenue Cycle Management

Billing Operations

• Manage end-to-end physician billing processes.
• Ensure timely claim submission and clean claim generation.
• Monitor billing productivity and accuracy.
• Drive reduction in claim rejections and billing errors.

Accounts Receivable Management

• Oversee AR follow-up activities across all payer categories.
• Manage aging inventory and improve collection performance.
• Ensure timely resolution of claims and payment delays.
• Drive reduction in AR days and outstanding balances.

Denial Management

• Analyze denial trends and root causes.
• Implement corrective action plans.
• Monitor appeal success rates.
• Develop payer-specific denial management strategies.

Payment Posting

• Ensure accurate and timely payment posting.
• Monitor reconciliation processes.
• Drive identification of underpayments and recovery opportunities.

Client Relationship Management

• Act as primary escalation point for strategic clients.
• Conduct regular client reviews and performance presentations.
• Ensure client satisfaction and retention.
• Manage escalations and ensure timely closure.
• Identify growth opportunities within existing accounts.
• Support transition and implementation of new business.

Quality & Compliance

• Ensure compliance with HIPAA and healthcare regulatory requirements.
• Drive internal audits and process compliance reviews.
• Monitor quality scores, error trends, and corrective actions.
• Ensure adherence to payer guidelines and billing regulations.
• Implement continuous quality improvement initiatives.

Financial Management

• Drive revenue maximization and collection improvement.
• Monitor profitability and operational costs.
• Manage departmental budgets and forecasting.
• Identify automation and efficiency opportunities.
• Develop plans to improve margin and operational performance.

Leadership & People Management

• Lead Managers, Team Leads, and Operations teams.
• Create succession planning and talent development programs.
• Conduct performance reviews and coaching sessions.
• Improve employee engagement and retention.
• Develop future leaders within the organization.

Process Excellence & Automation

• Lead process improvement initiatives.
• Drive Lean Six Sigma methodologies.
• Evaluate new technologies and automation opportunities.
• Implement workflow optimization strategies.
• Improve productivity and operational efficiency.

Business Development Support

• Support RFPs and client solutioning initiatives.
• Participate in client presentations and capability discussions.
• Assist sales teams with operational assessments.
• Provide operational inputs for business expansion opportunities.